Does immediate bilateral reconstruction poise additional risks for a smoker?
Risks from Immediate Bilateral Reconstruction
Doctor Answers (5)
Immediate Breast Reconstruction in a Smoker
I would recommend delaying your reconstruction until you can be off cigarettes for 2 weeks before surgery and 4 weeks after surgery. Breast Reconstruction is elective surgery. As your surgeon, I have the duty to provide you with the safest procedure with minimal risk and downtime. Active smoking carries too high a risk to consider immediate reconstruction. Consult with your primary care physician to determine the optimal smoking cessation aid for you. I wish you all the best.
Web reference: http://www.drpaulgill.com
Risks from immediate bilateral reconstruction
Yes smokers have a higher statistical risks of skin necrosis and infection. You should discuss in detail with the reconstructive surgeon so you are informed.
From MIAMI DR. B
Smoking GREATLY increases Complications of Immediate Breast Reconstruction
Smoking, either first or second degree, is associated with a decreased amount of blood flow through the skin. Immediate breast reconstruction in smokers has a significant rate of complications which could be otherwise decreased or avoided.
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Breast reconstruction and smoker
Smoking increases the complication rate of surgery in some studies by more than 50% as compared to the non-smoking population. I would stop smoking first.
Smooking and surgery
There is a risk of wound healing with or without immediate breast reconstruction.
The degree of risk varies with the method of reconstruction.
I would not do an immediate breast reconstruction on a smooker.
Skin flaps can die, Flaps can die. WHY TAKE THE RISK????????????????????????//
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